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JARED L WUTZKE M.D.
NPI 1225238207
Emergency Medicine in Walla Walla, WA

Active since July 19, 2007PECOS EnrolledAccepts Medicare Assignment
401 W POPLAR ST, PSMMC ER, WALLA WALLA, WA 99362(509) 522-5802(509) 522-5541 Get Directions Write a Review

NPPES record last updated: March 30, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jared L Wutzke M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JARED L WUTZKE M.D. (NPI 1225238207) is an individual emergency medicine provider in Walla Walla, Washington, licensed in Washington (MD60141552) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Providence St Mary Medical Center, and is a graduate of Oregon Health Sciences University School Of Medicine (2007).

NPPES Registry Identity

NPI1225238207
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJARED L WUTZKECredential: M.D.
Location Address401 W POPLAR ST, PSMMC ERWalla Walla, WA 99362-2846
Mailing AddressPo Box 34439Seattle, WA 98124-1439
Phone(509) 522-5802
Fax(509) 522-5541
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2007
Enumeration DateJuly 19, 2007
Last NPPES UpdateMarch 30, 2012
✔ NPI 1225238207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in WA · MD60141552
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
401 W POPLAR ST, Walla Walla, WA 99362
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Other Identifiers 3

Medicaid500626093OR
Medicare PING8892055WA
Medicaid1225238207WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jared L Wutzke M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416081385
PECOS Enrollment IDI20100813000379
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
192 services179 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
173 services164 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
67 services59 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence St Mary Medical Center

Acute Care Hospitals · Walla Walla, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500002
Location401 W Poplar StWalla Walla, WA 99362 · Walla Walla County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99362 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICK R SMART ARNP
Nurse Practitioner
401 W POPLAR ST, SLEEP MEDICINE CENTER
WALLA WALLA, WA 99362
Walla Walla County (509) 522-5946
JENNIFER SIMPSON
Registered Nurse
401 W POPLAR ST
WALLA WALLA, WA 99362
Walla Walla County (817) 933-1868
JAMES WILLIAM ROSSMAN MD
Anesthesiology
401 W POPLAR ST
WALLA WALLA, WA 99362
Walla Walla County (509) 897-2002
DR. ROBERT JOHN BRAWDERS PHARMD
Pharmacist
401 W POPLAR ST
WALLA WALLA, WA 99362
Walla Walla County (509) 897-2055
KRISTA NEUENDORFF OTR/L
Occupational Therapist
401 W POPLAR ST
WALLA WALLA, WA 99362
Walla Walla County (509) 897-5022
NORA KEOUGH COTA/L
Occupational Therapy Assistant
401 W POPLAR ST, REBAB SERVICE
WALLA WALLA, WA 99362
Walla Walla County (509) 897-2100
DR. PHILIP A GREEN MD
Emergency Medicine
401 W POPLAR ST, PSMMC ER
WALLA WALLA, WA 99362
Walla Walla County (509) 522-5802
DENNIS DUMOT
Pharmacist
401 W POPLAR ST
WALLA WALLA, WA 99362
Walla Walla County (509) 897-3320

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jared Wutzke's NPI number?

The NPI number for Jared Wutzke is 1225238207. It was assigned to this individual provider in the NPPES registry on July 19, 2007.

Where is Jared Wutzke located?

Jared Wutzke practices at 401 W Poplar St Psmmc ER, Walla Walla, WA 99362. The listed phone number is (509) 522-5802.

What is Jared Wutzke's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jared Wutzke enrolled in Medicare?

Yes. Jared Wutzke is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jared Wutzke accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jared Wutzke as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jared Wutzke affiliated with any hospitals?

According to CMS data, Jared Wutzke is affiliated with Providence St Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Jared Wutzke was last updated on March 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.